For the breastfeeding physician with plugs, I am thinking maybe there is 
some kind of pressure on the nipple pores. I heard you say no tight bra, but 
perhaps some other clothing or position? Is she staying well hydrated? Maybe 
that would help too.
For the recurrent mastitis client with a new baby and very painful breast - 
I think prophylactic antibiotics and anti-inflammatory agents should be 
considered, in addition to thorough breast emptying. Analgesics. Does she 
have a tendency to oversupply? Keep that in mind with management of that.


Laurie Wheeler, IBCLC, MN, RN
Mississippi, s.e. USA

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